Cialis - June 17, 2019

Buy Cialis Online Safely: Buy Cialis film-coated tablets 20mg 1 (Tadalafil) in an online pharmacy

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Buy Cialis Online Safely: Buy Cialis film-coated tablets 20mg 1 (Tadalafil) in an online pharmacy

Buy Cialis film-coated tablets 20mg №1 (Tadalafil) in the online pharmacy Zhivika of Chelyabinsk at a low price.

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Indications: Erectile dysfunction.

Contraindications: Use during treatment with preparations containing any organic nitrates; the presence of contraindications to sexual activity in patients with diseases of the cardiovascular system: myocardial infarction during the last 90 days, unstable angina, the occurrence of angina during sexual intercourse, chronic heart failure II-IV classes according to the NYHA classification, uncontrolled arrhythmias, hypotension ( BP less than 90/50 mm Hg), uncontrolled arterial hypertension, ischemic stroke in the last 6 months; loss of vision due to non-arterial anterior ischemic neuropathy of the optic nerve (regardless of the connection with the intake of PDE5 inhibitors); simultaneous administration of doxazosin, as well as medicines for the treatment of erectile dysfunction; frequent (more than 2 times a week) use in patients with chronic renal failure; lactase deficiency, lactose intolerance, glucose-galactose malabsorption; use in children and adolescents under 18; hypersensitivity to the drug.

Cialis is not intended for use in women.

It should be used with caution in patients with severe hepatic impairment (Child-Pugh class C), because data on the use of the drug in this category of patients is not available; in patients taking alpha blockers, since simultaneous use can lead to symptomatic arterial hypotension; in patients with a predisposition to priapism (in sickle cell anemia, multiple myeloma or leukemia) or in patients with anatomical deformation of the penis (angular curvature, cavernous fibrosis or Peyronie’s disease); simultaneously with powerful inhibitors of the isoenzyme CYP3A4 (ritonavir, saquinavir, ketoconazole, itraconazole, erythromycin), with antihypertensive drugs.

Active ingredient: Tadalafil.

Release form: 1. Tablets, film coated, 20 mg №1; 2. Tablets, film coated, 20 mg №2; 3. Tablets, film coated, 20 mg №4; 4. Tablets, film coated, 20 mg №8.

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The drug is taken orally.

For patients with frequent sexual activity (more than 2 times a week), the recommended frequency of administration is 5 mg 1 time / day, at the same time, regardless of the meal. The daily dose may be reduced to 2.5 mg depending on the individual sensitivity.

For patients with infrequent sexual activity (at least 2 times a week), the prescription of Cialis at a dose of 20 mg is recommended, immediately before sexual activity.

The maximum daily dose of Cialis is 20 mg.

Interactions: Ketoconazole, Ritonavir increases the effects of a single dose of tadalafil.

Rifampin reduces the effects of a single dose of tadalafil.

The simultaneous administration of an antacid (magnesium hydroxide / aluminum hydroxide) and tadalafil reduces the rate of absorption of tadalafil.

Tadalafil enhances the hypotensive effect of nitrates. Therefore, the use of tadalafil against the use of nitrates is contraindicated.

Tadalafil does not increase the duration of bleeding caused by acetylsalicylic acid.

Tadalafil has systemic vasodilating properties and may enhance the action of antihypertensive drugs aimed at reducing blood pressure. Additionally, in patients taking several antihypertensive agents in whom hypertension was poorly controlled, there were some large reductions in blood pressure. In the vast majority of patients, these decreases were not associated with hypotensive symptoms. Patients receiving antihypertensive medication and receiving tadalafil should be given appropriate clinical guidelines.

Buy Cialis Online Safely: Buy Cialis film-coated tablets 20mg 1 (Tadalafil) in an online pharmacy

No significant reduction in blood pressure was observed when tadalafil was used by people taking selective alpha [1A] -adrenergic blocker, tamsulosin.

When tadalafil was used by healthy volunteers taking doxazosin (8 mg per day), alpha [1] -adrenergic blocker, there was an increase in the doxazosin hypotensive effect. Some patients experienced dizziness. No cases of syncope were observed. Lower doses of doxazosin have not been studied. Tadalafil did not affect the concentration of alcohol, nor did alcohol affect the concentration of tadalafil. With high doses of alcohol (0.7 g / kg), taking tadalafil did not cause a statistically significant decrease in the average blood pressure. Some patients had postural dizziness and orthostatic hypotension. With the introduction of tadalafil in combination with lower doses of alcohol (0.6 g / kg), hypotension was not observed, and dizziness occurred with the same frequency as when taking alcohol alone.

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Side Effects: The most frequently observed undesirable events are headache and dyspepsia (11 and 7% of cases, respectively). Unwanted events associated with taking tadalafil were usually insignificant or moderate in severity, transient and decreased with continued use of the drug.

Other common undesirable effects were back pain, myalgia, nasal congestion and flushing of the face.

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Rarely – eyelid edema, eye pain, conjunctival hyperemia and dizziness.

Very rarely, hypersensitivity reactions (including rashes, urticaria and facial swelling, Stevens-Johnson syndrome and exfoliative dermatitis); hypotension (in patients who have already taken antihypertensive drugs); hypertension and syncope; abdominal pain and gastroesophageal reflux; hyperhidrosis (excessive sweating); priapism and delayed erection; blurry vision; non-arterial anterior ischemic neuropathy of the optic nerve; retinal vein occlusion; visual disturbance.

Myocardial infarction, sudden cardiogenic death, stroke, chest pain, palpitations, and tachycardia were observed in patients who had previously had cardiovascular risk factors. However, it is impossible to determine whether these phenomena are directly related to these risk factors, tadalafil, sexual arousal, or a combination of these or other factors.

Special instructions: Sexual activity has a potential risk for patients with cardiovascular diseases. Therefore, the treatment of erectile dysfunction, including the use of the drug CIALIS, should not be carried out in men with heart diseases for which sexual activity is not recommended. The potential risk of complications from sexual activity in patients with cardiovascular diseases should be considered: myocardial infarction in the past 90 days; unstable angina or angina arising during intercourse; heart failure class 2 and above in NYHA, which has developed in the last 6 months; uncontrolled cardiac arrhythmias, hypotension (with AD <90/50 мм рт. ст.) или неконтролируемая артериальная гипертензия; инсульт, перенесённый в течение последних 6 месяцев.

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Cialis should be used with caution in patients with a predisposition to priapism (for example, in sickle cell anemia, multiple myeloma and leukemia) or in patients with anatomical deformation of the penis (for example, in angular curvature, cavernous fibrosis or Peyronie’s disease). There are reports of the occurrence of priapism when using PDE5 inhibitors, including tadalafil. Patients should be informed of the need to immediately seek medical help in the event of an erection lasting 4 hours or more. Late treatment of priapism leads to damage to the tissues of the penis, resulting in a long-term loss of potency.

The safety and efficacy of the combination of Cialis with other types of treatment for erectile dysfunction has not been studied. Therefore, the use of such combinations is not recommended.

Like other PDE5 inhibitors, tadalafil has systemic vasodilating properties, which can lead to a transient decrease in blood pressure. Before prescribing Cialis, physicians should carefully consider whether patients with their cardiovascular disease will be exposed to undesirable effects due to such vasodilating effects.

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